4.7 Article

Current Challenges in Fecal Microbiota Transplantation for Clostridioides difficile Infection in Children

Journal

AMERICAN JOURNAL OF GASTROENTEROLOGY
Volume 116, Issue 9, Pages 1954-1956

Publisher

LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.14309/ajg.0000000000001350

Keywords

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Funding

  1. National Institute of Allergy and Infectious Diseases K23 award [1K23AI156132-01]
  2. National Institute of Child Health and Human Development [K23HD099240]
  3. National Institute of Diabetes and Digestive and Kidney Diseases K23 award [K23DK119585]
  4. National Institutes of Health/National Center for Advancing Translational Sciences Grant Support [UL1 TR000445]

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The impact of the 2019 US FDA safety alert and the COVID-19 pandemic on the use of FMT in children has led to changes in practices for many pediatric gastroenterologists, with a majority of programs being halted as a result.
INTRODUCTION: The impact of the 2019 US Food and Drug Administration safety alert involving transmission of multidrug resistant organisms through fecal microbiota transplantation (FMT), and the COVID-19 pandemic on the use of FMT in children, is unknown. METHODS: A survey of pediatric gastroenterologists performing FMT for Clostridioides difficile infection was conducted. RESULTS: Of 36 respondents, 17 (47%) and 30 (83%) changed their FMT practices related to the US Food and Drug Administration safety alert and COVID-19 pandemic, respectively, with 22 (61%) of programs halted. DISCUSSION: The US Food and Drug Administration safety alert and COVID-19 pandemic have substantially influenced the availability and access of FMT for children.

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